=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811503824
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TENDER ADVOCATES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/16/2020
-----------------------------------------------------
Last Update Date | 09/16/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 440 BURWELL AVE
-----------------------------------------------------
City | BURWELL
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68823-4150
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 308-832-6075
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 603
-----------------------------------------------------
City | BURWELL
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68823-0603
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 308-832-6075
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | PATRICIA A BOLLI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 832-860-1786
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------